US6039952A - Composition and method for improving clinical signs in animals with renal disease - Google Patents
Composition and method for improving clinical signs in animals with renal disease Download PDFInfo
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- US6039952A US6039952A US09/176,440 US17644098A US6039952A US 6039952 A US6039952 A US 6039952A US 17644098 A US17644098 A US 17644098A US 6039952 A US6039952 A US 6039952A
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- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23K—FODDER
- A23K50/00—Feeding-stuffs specially adapted for particular animals
- A23K50/40—Feeding-stuffs specially adapted for particular animals for carnivorous animals, e.g. cats or dogs
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- This invention relates to a pet food product and process for its use in improving clinical signs in animals suffering from renal disease.
- Renal failure is one of the most common causes of death in dogs.
- several blood indices are used to determine the severity of the disease. These indices include blood urea nitrogen (BUN) and creatinine.
- BUN and creatinine levels in the bloodstream increase during the course of renal failure because damage to the kidney of the animal makes the kidney inadequate to filter waste products. Because inadequate filtration of waste products is the fundamental basis of renal disease, BUN and creatinine are considered the primary indicators of renal disease.
- Carbon dioxide levels are an indicator of the level of metabolic buffering (acid-base balance) that occurs in an animal. Metabolic acidosis becomes a problem for an animal suffering from renal disease, and high carbon dioxide levels are indicators of a lack of buffering.
- Another parameter which is important in animals suffering from renal disease is the blood triglyceride level. It is important in the animal suffering from renal disease as the triglyceride level is often greater than in normal animals. It would be desirable to be able to control these additional parameters in the renal patient through diet.
- a process for improving clinical signs in an animal with renal disease includes the steps of feeding the animal a composition comprising from about 10 to about 32 wt % crude protein, from about 8 to about 20 wt % fat, from about 3 to about 25 wt % total dietary fiber, and fermentable fibers which have an organic matter disappearance of 15 to 60 percent when fermented by fecal bacteria for a 24 hour period, the fibers being present in amounts from about 1 to 11 weight percent of supplemental total dietary fiber.
- the composition contains from about 15 to about 25% crude protein, and most preferably, from about 17 to about 22% crude protein.
- the composition contains from about 10 to about 16% fat, and most preferably from about 13 to about 15% fat.
- the composition contains from about 5 to about 15% total dietary fiber, and most preferably from about 7 to about 12% total dietary fiber.
- the composition contains from 2 to 9 weight percent of supplemental total dietary fiber of the fermentable fibers, more preferably from 3 to 7 weight percent, and most preferably from 4 to 7 weight percent of supplemental total dietary fiber of the fermentable fibers. It is preferred that the fermentable fibers have an organic matter disappearance of 20 to 50 percent, and more preferably 30 to 40 percent.
- the fermentable fibers are selected from the group consisting of beet pulp, gum arabic, gum talha, psyllium, rice bran, carob bean gum, citrus pulp, pectin, fructooligosaccharides, mannanoligosaccharides and mixtures thereof.
- the fermentable fibers are selected from the group consisting of beet pulp, gum arabic, gum talha, citrus pulp, and fructooligosaccharides.
- the fermentable fibers are beet pulp or a blend of beet pulp, gum talha or gum arabic, and fructooligosaccharides.
- the composition may also have a phosphorus content of less than about 0.50%, and preferably less than about 0.25%, by weight to prevent hyperphosphatemia.
- the composition may also optionally contain potassium citrate as a metabolic buffering agent. Inclusion of potassium citrate has been found to ameliorate metabolic acidosis in animals with renal disease.
- a low-phosphorus pet food composition comprises from about 10 to about 32% crude protein, from about 8 to about 20% fat, and from about 3 to about 25% total dietary fiber, with the percentage of phosphorus being less than about 0.50%, and preferably less than about 0.25%, all percentages by weight.
- the composition contains from about 15 to about 25% crude protein, and most preferably, from about 17 to about 22% crude protein.
- the composition contains from about 10 to about 16% fat, and most preferably from about 13 to about 15% fat.
- the composition contains from about 5 to about 15% total dietary fiber, and most preferably from about 7 to about 12% total dietary fiber.
- low phosphorus-containing protein sources are utilized.
- Preferred low phosphorus sources of protein for the composition include soy protein isolate and corn gluten meal.
- the composition further includes L-lysine and L-tryptophan as amino acid supplements.
- Preferred percentages (by weight) of the protein and amino acid components of the composition are: from about 5 to about 15% soy protein isolate, from about 0.5 to about 2.5% corn gluten meal, from about 0.01 to about 0.22% L-lysine, and from about 0.01 to about 0.22% L-tryptophan.
- a preferred weight ratio of soy protein isolate to corn gluten meal to L-tryptophan to L-lysine is 420:46.5:5:1.
- a process for lowering blood serum triglycerides in an animal with renal disease includes the steps of feeding the animal a diet comprising from about 10 to about 32% by weight crude protein, from about 8 to about 20% by weight fat, and fermentable fibers which have an organic matter disappearance of 15 to 60 percent when fermented by fecal bacteria for a 24 hour period, the fibers being present in amounts from about 1 to 11 weight percent of supplemental total dietary fiber, and in which the ratio of calories from protein in the diet to calories from fat in the diet is greater than about 0.40:1.
- the composition contains from about 15 to about 25% crude protein, and most preferably, from about 17 to about 22% crude protein.
- the composition contains from about 10 to about 16% fat, and most preferably from about 13 to about 15% fat.
- the composition contains from about 5 to about 15% total dietary fiber, and most preferably from about 7 to about 12% total dietary fiber.
- Such a diet provides a much higher ratio of protein to fat calories than previous diets.
- the diet may also include sources of omega-6 and omega-3 fatty acids in a ratio of from about 1:1 to about 10:1 of omega-6 fatty acids to omega-3 fatty acids which also act to lower serum triglyceride levels.
- the present invention utilizes a pet food composition which, when fed to a companion animal such as a dog or cat, results in an improvement in several clinical signs associated with renal disease.
- the composition contains fermentable fibers which aid in the removal of nitrogenous wastes, including urea, from the animal.
- inclusion of such fermentable fibers in a pet food composition acts to remove nitrogen from the blood, to enhance blood flow to colonic tissues, and to enhance metabolic fuel availability to intestinal cells.
- These fermentable fibers are a preferred nutritional source for bacteria in the colon, providing an increase in the quantity of bacteria in the colon.
- Such colonic bacteria also require nitrogen to reproduce. That nitrogen is derived from urea drawn into the intestinal lumen from the portal blood. Once it is inside the intestinal lumen, the nitrogen from urea and carbon skeletons from the fibers are synthesized into bacterial protein and consequently excreted in the feces.
- the fermentable fibers display certain organic matter disappearance percentages.
- the fermentable fibers used in the present invention have an organic matter disappearance (OMD) of from about 15 to 60 percent when fermented by fecal bacteria in vitro for a 24 hour period. That is, from about 15 to 60 percent of the total organic matter originally present is fermented and converted by the fecal bacteria.
- OMD organic matter disappearance
- the organic matter disappearance of the fibers is preferably 20 to 50 percent, and most preferably is 30 to 40 percent.
- in vitro OMD percentage may be calculated as follows:
- OM residue is the organic matter recovered after 24 hours of fermentation
- OM blank is the organic matter recovered in corresponding blank tubes (i.e., tubes containing medium and diluted feces, but no substrate), and OM initial is that organic matter placed into the tube prior to fermentation. Additional details of the procedure are found in Sunvold et al, J. Anim. Sci. 1995, vol. 73: 1099-1109.
- Fermentable fibers which are useful in the present invention produce short chain fatty acids (SCFAs) within a range of from about 28 to about 85 mmol SCFA per 1000 Calories (kcals) of metabolizable energy (ME), and more preferably within a range of from about 42 to about 71 mmol SCFA per 1000 ME kcals. This equates to a composition which has a total fermentable fiber content which yields from about 100 to about 350 mmol SCFA/kg of diet.
- SCFAs short chain fatty acids
- ME metabolizable energy
- Millimoles of SCFAs per 1000 metabolizable energy kilocalories are calculated by first calculating the total Calories of metabolizable energy (ME) in a given diet composition per kilogram of the composition. The number of grams per 1000 kcal ME may be derived from the first calculation. Then the grams, and thus millimoles, of the fermentable fiber components of the composition may be calculated.
- ME metabolizable energy
- the fermentable fibers may be any fiber source which intestinal bacteria present in the animal can ferment to produce significant quantities of SCFAs.
- "Significant quantities" of SCFAs are amounts over 0.5 mmol of total SCFAs/gram of substrate in a 24 hour period.
- Preferred fibers include beet pulp, gum arabic (including gum talha), psyllium, rice bran, carob bean gum, citrus pulp, pectin, fructooligosaccharides, mannanoligosaccharides and mixtures of these fibers.
- the fermentable fibers are used in the pet food composition in amounts from 1 to 11 weight percent of supplemental total dietary fiber, preferably from 2 to 9 weight percent, more preferably from 3 to 7 weight percent, and most preferably from 4 to 7 weight percent.
- Total dietary fiber is defined as the residue of plant food which is resistant to hydrolysis by animal digestive enzymes.
- the main components of total dietary fiber are cellulose, hemicellulose, pectin, lignin and gums (as opposed to “crude fiber”, which only contains some forms of cellulose and lignin).
- Secondary total dietary fiber is that dietary fiber which is added to a food product above and beyond any dietary fiber naturally present in other components of the food product. Also, a “fiber source” is considered such when it consists predominantly of fiber.
- the present invention provides a low-phosphorus content pet food composition containing from about 10 to about 32% crude protein, from about 8 to about 20% fat, and from about 3 to about 25% total dietary fiber, with the percentage of phosphorus being less than about 0.50% and preferably less than 0.25%, all percentages by weight.
- the composition contains from about 15 to about 25% crude protein, and most preferably, from about 17 to about 22% crude protein.
- the composition contains from about 10 to about 16% fat, and most preferably from about 13 to about 15% fat.
- the composition contains from about 5 to about 15% total dietary fiber, and most preferably from about 7 to about 12% total dietary fiber.
- Low phosphorus levels slow the progression of renal disease and manage hyperphosphatemia through diet.
- a combination of low phosphorus containing protein sources are utilized.
- Preferred low phosphorus sources of protein for the composition include soy protein isolate and corn gluten meal. Moderate amounts of these high quality protein sources help to maintain glomerular filtration rate, lean muscle mass, and other bodily functions.
- the composition further includes L-lysine and L-tryptophan, amino acids which are necessary to an animal's good health.
- Preferred percentages (by weight) of the protein and amino acid components of the composition are: from about 5 to about 15% soy protein isolate, from about 0.5 to about 2.5% corn gluten meal, from about 0.01 to about 0.22% L-lysine, and from about 0.01 to about 0.22% L-tryptophan.
- a preferred weight ratio of soy protein isolate to corn gluten meal to L-tryptophan to L-lysine is 420:46.5:5:1.
- Carbon dioxide levels in an animal's blood gases are also indicators of disturbances in an animal's acid-base balance.
- Metabolic acidosis a condition where too much acid is present in the blood, often manifests itself in an animal with renal disease. Such a condition may be managed by adding potassium citrate to the diet of the animal to improve metabolic buffering.
- Another embodiment of the invention provides a process for lowering blood serum triglycerides in an animal with renal disease.
- Lowering the level of blood triglycerides in an animal with renal disease is important as high triglyceride levels are often manifested with the disease.
- triglycerides may be lowered.
- the animal is fed a diet comprising from about 10 to about 32% crude protein, from about 8 to about 20% fat, all percentages by weight.
- the diet contains from about 15 to about 25% crude protein, and most preferably, from about 17 to about 22% crude protein.
- the diet contains from about 10 to about 16% fat, and most preferably from about 13 to about 15% fat.
- the diet contains from about 5 to about 15% total dietary fiber, and most preferably from about 7 to about 12% total dietary fiber.
- the diet also includes fermentable fibers which have an organic matter disappearance of 15 to 60 percent when fermented by fecal bacteria for a 24 hour period, the fibers being present in amounts from about 1 to 11 weight percent of supplemental total dietary fiber.
- the fermentable fibers act to lower BUN and repartition nitrogenous wastes from the urine to the feces of the animal, excessive levels of dietary fat are not needed to dilute calories provided by protein in the diet.
- the ratio of calories from protein in the diet to calories from fat in the diet is preferably greater than about 0.40:1. Such a diet provides a much higher ratio of protein to fat calories than previous diets while lowering triglyceride levels.
- the diet may also include sources of omega-6 and omega-3 fatty acids in a ratio of from about 1:1 to about 10:1 of omega-6 fatty acids to omega-3 fatty acids.
- sources of omega-6 and omega-3 fatty acids in a ratio of from about 1:1 to about 10:1 of omega-6 fatty acids to omega-3 fatty acids.
- LPL lipoprotein lipase
- Increased LPL activity increases fatty acid oxidation and thus decreases blood triglyceride levels.
- the omega-6:omega-3 fatty acid ratio also results in lower intra renal blood pressure and reduces inflammatory mediators.
- Table 1 summarizes the percentage of calories derived from each macronutrient in a conventional pet food diet versus the diet of the present invention.
- Table 2 summarizes the results obtained from four adult dogs suffering from renal disease and compare their clinical BUN, creatinine, phosphorus, carbon dioxide, and triglycerides levels before and after consuming the diet of the present invention.
- the diet of the present invention provides a much greater percentage of calories from protein and less from fat than prior diets.
- Clinical cases of canine renal failure were recruited from local veterinary clinics near Dayton, Ohio for a study. Most of the dogs were fed a commercially prepared diet restricted in protein and phosphorus for at least two weeks prior to gathering baseline information and laboratory analysis. Patients identified as “Zak” and "Squirt” were fed other commercial maintenance diets.
- the conventional renal diet was a commercially-available low protein, restricted phosphorus canine renal diet (Hill's® Prescription Diet® Canine k/d®).
- Renal Diets 1 and 2 differ in the following ways from the conventional renal diet. They contain 50% and 25% more protein, respectively. Total fat content is reduced by 30% in both Renal Diets 1 and 2. Renal Diets 1 and 2 have an omega-6:omega-3 fatty acid ratio of approximately 5:1 versus 22:1 for the conventional renal diet. Renal Diets 1 and 2 contain a fermentable fiber blend.
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Abstract
Description
{1-[(OM residue-OM blank)/OM initial]}×100,
______________________________________ Diet Protein Fat Carbohydrate ______________________________________ Conventional 10.6 38.7 50.8 Formulation of 12.9-17.3 29.4-31.1 57.7-51.6 the present invention ______________________________________
______________________________________ BUN Creatinine Phosphorus CO.sub.2 Triglycerides ______________________________________ Before.sup.a 60.3 3.4 59 19.0 240.0 After 51.8 2.8 5.3 21.8 99.8 Normal Range 6-32 0.4-1.1 2.7-5.8 14-30 31-105 ______________________________________ .sup.a Prior to consuming the diet of the present invention, dogs were fe a standard commercial diet used with renal patients.
TABLE 3 ______________________________________ Diet Characteristics (dry matter basis) Typical Analysis Analysis of Diet Fed Conventional Renal Diet Renal Diet Renal Diet 1 2 ______________________________________ Crude Protein, % 14.2 21.1 17.5 Fat, % 19.6 14.3 13.0 Ash, % 3.3 5.8 4.2 Crude Fiber, % 1.1 3.0 2.7 Calcium, % 0.78 0.95 0.65 Phosphorus, % 0.31 0.45 0.29 omega-6:3 fatty acid ratio 22:1 4.41 5.61 % calories from protein 10.6 17.3 12.9 % calories from fat 38.7 31.1 29.4 % calories from 50.8 51.6 67.7 carbohydrates ______________________________________
TABLE 4 - Canine Renal Patients Transitioned to Renal Diet 1 and Renal Diet 2 Creatinine Phosphorus Triglycerides WEEK BUN (mg/dL) (mg/dL) (mg/dL) (mg/dL) NH.sub.3 (mg/dL) PTH (Pg/mL) Urine Specific Gravity Urine Protein Hematocrit (%) Hemoglobin (g/dL) LAB NORMAL RANGE 10-30 0.5-1.5 3-6 0-160 20-120 16-136 1.018-1.045 Neg 35-56 12-18 CANINE RENAL PATIENTS TRANSITIONED TO RENAL DIET 1 "Dumas" is an 18-year-old, 20 lb, Initial 63 2.3 5.9 48 39 246 1.016 Trace 36.7 12.8 neutered male mixed breed with a 1 year 2 62 2.6 5.3 82 -- -- 1.012 Neg -- -- history of renal failure. He had been fed 5 57 2.2 4.8 65 -- -- 1.014 Neg -- -- the conventional renal diet since renal 10 55 2.1 4.3 411 62 182 1.014 Neg 35.7 12.2 failure was diagnosed. "Bessie" is a 12-year-old, 59 lb, spayed Initial 37 0.9 5.1 330 161 55 1.012 3+ 45.7 17.5 female Bassett Hound with a 1 year 2 42 1.0 5.1 275 -- -- 1.015 3+ -- -- history of mild azotemia. She had been 5 36 1.2 4.2 129 -- -- 1.012 3+ -- -- fed the conventional renal diet for 8 10 37 1.0 3.7 1.08 96 496 1.012 3+ 46.9 15.0 months prior to the switch to Renal Diet 1. 23 46 1.6 4.4 174 31 136 1.012 3+ 48.9 15.9 "Max" is a 9-year-old, 80 lb, neutered Initial 50 1.7 3.4 144 -- 41 1.020 3+ 46.3 15.5 male Golden Retriever. The duration of 2 41 1.8 2.7 130 -- -- 1.022 3+ -- -- Max's renal failure was not reported. 5 35 1.6 1.5 133 -- -- 1.021 3+ -- -- 10 48 1.8 4.5 115 -- -- 1.026 3+ 47.7 16.6 "Shamrock" is an 8-year-old, 35 lb, Initial 23 3.0 4.1 41 132 74 1.009 Neg 43.2 14.8 spayed female Spaniel mix with a 1 2 33 2.9 3.9 32 -- -- 1.013 Neg -- -- month history of signs of renal failure prior 5 39 2.4 4.0 49 -- -- 1.013 Neg -- -- to starting the study. 10 41 2.4 3.5 50 34 157 1.017 Neg 39.1 12.6 23 51 2.4 3.0 311 69 -- 1.018 Neg 44 15.5 "Squirt" is a 14 year-old, 12 lb, spayed Initial 31 1.6 3.2 159 194 128 1.017 Neg 39.8 13.6 female, mixed breed. Squirt had signs of 2 25 1.5 2.7 618 -- -- 1.017 Neg -- -- renal failure for about 1 month prior to 5 29 1.6 1.9 73 -- -- 1.017 Neg -- -- starting the study. She was fed 10 32 1.7 2.3 134 42 114 1.015 Neg 48.1 16 Eukanuba ® Senior Maintenance Formula. "Zak" is a 10-year-old, 63 lb, intact male Initial 44 2.1 4.7 112 -- -- 1.015 3+ 52.6 17.7 Collie mix, Zak's renal failure was 2 36 1.9 4.3 18 -- 119 1.028 3+ -- -- diagnosed about 1 week prior to starting 5 39 2.0 4.1 88 -- -- 1.027 3+ -- -- the study. Zak was fed Pedigree ® prior to 10 43 2.0 4.1 76 33 113 1.018 3+ 54.1 17.2 starting the study. LAB NORMAL RANGE 10-30 0.5-1.5 3.0-6.0 0-160 20-120 16-136 1.018-1.045 Neg 35-56 12-18 CANINE RENAL PATIENTS TRANSITIONED TO RENAL DIET 2 "Elle" is a 4-year-old, 70 lb, spayed Initial 79 8.8 6.0 470 45 237 1.012 1+ 36.9 13.4 female Labrador Retriever. She had an 2 67 7.2 3.9 75 -- -- 1.011 Trace -- -- aoute onset of renal failure and was on a 5 58 6.2 4.0 131 -- -- 1.013 1+ -- -- standard low protein renal diet for 2 10 72 6.8 5.6 31 88 230 1.011 Neg 32.1 10.7 weeks prior to transitioning to Renal Diet 2. "Peaches" is a 12-year-old, spayed female Initial 62 1.5 6.7 112 145 319 1.015 3+ 48.1 16.4 Cocker Spaniel. She had a 2 year history 2 49 1.5 7.2 101 -- -- 1.0121 3+ -- -- of renal insufficiency and had been fed the 5 56 1.5 8.2 98 -- -- 1.011 3+ -- -- conventional renal diet since that time. 10 72 1.2 6.0 203 189 650 1.010 2+ 47.3 16.8
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US09/514,683 US6306442B1 (en) | 1997-10-22 | 2000-02-28 | Method for improving clinical signs in animals with renal disease |
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